瑾年老师

如果你能读懂我的字里行间，那么我们的故事就要开始了

[瑾年老师 @MedAPrez]

@Sultankaptanog1 福是什么东西?

[瑾年老师 @MedAPrez]

91年女教师，第一次在X上发露脸照片 会有人喜欢吗？

中文区的小伙伴可以刷到我吗？ 交个朋友

[瑾年老师 @MedAPrez]

@akdal_emin 国庆节可能没时间 节后吧

[瑾年老师 @MedAPrez]

@Pnargl92303813 我不要

[瑾年老师 @MedAPrez]

@Kevser91857237 我刷的都是英文的

[瑾年老师 @MedAPrez]

Place fresh white daisies beside bedroom glass panes, faint grassy scent calms your tangled busy mind before you sink into deep stable undisturbed peaceful nightly rest each dark evening.Meat lasagna Meat taste🦿

[瑾年老师 @MedAPrez]

⛈The cat plays with silicone ribbonIgnore all pointless negative remarks from those around you. Stay quietly committed to your own journey, continue putting in the effort, and your ultimate outcomes will silence every doubt cast your way along the road.

[瑾年老师 @MedAPrez]

🥵A winter stroll with my girlfriend. Snowy ice path. Low-effort, gentle-toned everyday tops cut down the hassle of coordinating outfits. Soft colors remain neat and fresh even after repeated outdoor use and regular weekly laundering.

[瑾年老师 @MedAPrez]

💫 Organize your wardrobe with intention—arrange garments by order and space, creating beauty that feels soft and serene. The portrait is stunning: it captures not only her looks but her very soul—her quiet resilience, a trace of melancholy, and that subtle spark of optimism s

[瑾年老师 @MedAPrez]

🐍Sketch a portrait—the result impressed me, and I feel a sense of pride. Absorb valuable insights rapidly from each slip, releasing self-blame without dwelling in regret. Treat failures as building blocks; every stumble paves the way toward deeper understanding and steadier em

[瑾年老师 @MedAPrez]

She'd stroll with him at a leisurely pace through the neighborhood, toss a ball for him to retrieve in the backyard, and snuggle beside him on the sofa, sharing tales of her daily life, her aspirations, and her anxieties.

[瑾年老师 @MedAPrez]

💤Shed Cleaning The shed is spacious. The tiny, radiant fireflies of hope within your heart have the power to illuminate even the darkest valleys of existence. Regardless of how challenging your circumstances may feel right now, that glimmer of hope will ultimately guide you tow

[瑾年老师 @MedAPrez]

Trust deeply in the course of your own distinct path, even when those around you urge you to change direction suddenly. Your one-of-a-kind rhythm guides you toward a purpose designed exclusively for you. A game with your sibling—she's quick, like a strawberry.

[瑾年老师 @MedAPrez]

CLASIFICACIÓN NPUAP/EUAP ❇️ÚLCERAS POR PRESIÓN❇️ #ENARM2021
I Eritema no palidece
II Espesor parcial
III Pérdida piel total
IV Pérdida total del espesor el tejido

Lugar más frecuente: Sacro 30%

[La Tríada Clásica @LaTriadaClasica]

¡Acompáñanos en este MES INTENSIVO de preparación ENARM!

Sesiones de casos clínicos en vivo de todas las especialidades con nuestros amigos de ENARMIND.

¡Tenemos 5 membresías GRATIS para ti!
1) SÍGUENOS
2) Haz RT del post
3) Anunciamos ganadores jueves 9/sep

#ENARM #ENARM2021

[Medimexa🇲🇽 @medimexa]

Te regalo la entrada a esta charla de mañana 👇👇👇👇
.
Solo ayúdame con un 👍y retweet
Una vez hecho eso déjame tu correo por mensaje directo, para mandarte el acceso
Cupo limitado a los primeros 60

[瑾年老师 @MedAPrez]

🔰TRATAMIENTO🔰

RDNP leve y moderada:
Monitoreo anual y control glucémico

RDNP severa y RPDP:
Panfotocoagulación

RDP alto riesgo:
Inyección intravítrea anti-VEGF

Vitrectomía:
Persistencia, hemorragia vitrea, desprendimiento de retina.

GPC IMSS 171 09/ 735 14

[瑾年老师 @MedAPrez]

Detección, diagnóstico y tratamiento de la Retinopatia diabética. Revisión GPC. #ENARM #ENARM2021

[瑾年老师 @MedAPrez]

🔰AUXILIARES🔰
🖥️
Angiografía con fluoresceína:
NO prueba de rutina

Ecografía:
Útil en medio opacos (hemorragias vitreas)

Tomografía de coherencia óptica (OCT):
NO prueba de rutina
Útil para evaluar edema macular
Útil en consideración de vitrectomía